- HCA Healthcare (Nashville, TN)
- …local/divisional Case Management leadership and HCA's legal team to assess the validity of claims and assist in the pursuit of payment on unpaid and underpaid ... claims . Additionally, the Nurse Subject Matter Advisor will serve...education and guidance to help prevent recurrence of similar claim issues. Major Responsibilities: + Conducts comprehensive clinical record… more
- Defense Logistics Agency (Fort Belvoir, VA)
- …Services and Financial Management Services, and materials in support of DLA internal operations and to other federal agencies. This position reports to the Chief, ... including advising on contract modifications, disputes, requests for equitable adjustment, claims , and termination actions. Assists the Department of Justice in… more
- Northwest Florida Community Hospital (Chipley, FL)
- …ICD-10 requirements, UB/1500 claim submission data and elements required for clean claim submissions. + Manages billing operations that cover all aspects of ... processes occur. + Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under… more
- HUB International (Chicago, IL)
- …revenue-producing accounts, all of which have a significant impact on the business operations of the client and on HUB. + Utilizing industry experience and in-depth ... knowledge of insurance markets, policy provisions, claim processes, business environment, and risk mitigation, applies independent and discretionary judgment to make… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(financial, claims , risk score, trend, utilization, savings, etc.), unpaid claim liability estimates and identification of areas for savings. + Initiates and ... actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of… more
- AdventHealth (Davenport, FL)
- …coordinates the claim management program to align with risk management operations and fairly negotiates resolution of claims within established settlement ... control initiative implementation, risk management data management, and internal claims management program. Ensures risk management regulatory compliance with… more
- Defense Health Agency (Camp Lejeune, NC)
- …result in litigation as they arise to document factual data to deter potential claims . Interprets and applies law and policy for the release or denial of requested ... and any other tort litigation, to include investigation, support for claims adjudication, and federal court litigation. Responsible for the supervision and… more
- Travelers Insurance Company (New York, NY)
- …equipment breakdown, and overall insurability. Investigate less complex Equipment Breakdown claims as requested by the claim department. Evaluate elements ... recommending corrective actions. Work cooperatively with Boiler and Machinery underwriting and claim groups, in support of helping them make informed decisions to… more
- TEKsystems (Dallas, TX)
- …providers, health plan and members as they relate to eligibility, benefits, claims , coverage and authorization of services. This position will also problem-solve and ... explain programs and procedures to callers and will answer/address claim payment questions with providers. Job Duties: - Answering incoming phone calls via ACD phone… more
- Gerber Collision & Glass (Fife, WA)
- …FIfe, WA Glass America is a respected leader in the auto glass industry. As a Claim Specialist, you are a key member of Glass America's shop operations team and ... + Have a sense of urgency when filing insurance claims with and/or without customers on the line. +...Process driven with the understanding of how to manage Claim Spreadsheets. Glass America is an Equal Opportunity Employer.… more
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